| (NW 88326

_ Assassination Records Review Board
Final Determination Notification

AGENCY : HSCA
RECORD NUMBER : 180-10068-10311
RECORD SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :

December 8, 1995
Status of Document: Postponed in Part

Number of releases of previously postponed information: 3 .
Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United
States or to any individual. .

Number of Postponements: 2

Postponements: All the postponements in this document represent Social Security numbers.

Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the public interest.

Substitute Language: SSN

Date of Next Review: 2017

Board Review Completed: 10/24/95

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_ - . Date: 08/20/93
. . . Page:1
JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY : HSCA ;
RECORD NUMBER : 180-10068-10311

RECORDS SERIES :
STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

ORIGINATOR :
FROM ;:
TO ¢

TITLE :

(06/17/77
3

DATE
PAGES .

ee 60

SUBJECTS :;
HSCA, ADMINISTRATION
BLAKEY, G. ROBERT

DOCUMENT TYPE : PRINTED FORM

CLASSIFICATION : U

RESTRICTIONS : 3

| CURRENT STATUS : P
| DATE OF LAST REVIEW : 07/07/93

OPENING CRITERIA

COMMENTS

Box:1.

: [R] - ITEM IS RESTRICTED
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Docld:32243277 Page 3 : C ;

Ce a, A on ns

- PAYROLL AUTHORIZATION FORM- . — pe ;
_ «(Please Use Typewriter --. - -* U: S. HOUSE: OF “REPRESENTATIVES - “(Any erasures, corrections, or changes: °°
~< “or Ballpoint Pen) >” _ Washington, D.C: 20515 oe 7 on this form must he: initialed by the. 7

authorizing official.)

To the Clerk of the House of Representatives:

‘thereby authorize the following: payroll action: . -

Employee Name (First- Middle- Last). : 5 _ a ee ; Effective Date ae 7 :
George Rebert Blakey 7/1/77

Employee Social Security Number: Type of Action
243 4b-4536

Employing Office or Committee

_CJ Appointment

&) KJ Salary Adjustment

CT Termination {At close of business on n effective date): ~

Select Committee on Assassinations

. (If type of action isan Appointment-or Salary Adjustment, complete the following,iaformation)

7.

7560.00

Position Title Oe - ft Gross Annual Salary oe

whe

Chief € Suse? sand rector f

73

- (If Committee Employee, compe porbie iter belpwe)-

ine

ae ora:
hey

. 3. | Joint Committee. cae 4

(If Employee of an Officer of the House, complete item below}

. Position Numbéis ay oo ‘applicable, Level_

4

relatives.

a
eget Rts iG Dene aS toe aoe

al

. H
Dote.__ VRE 28 NG Gt Re re _
oy . Foont (Signature of Authorizing Official) -
OY | A AGUIS STOKES
rd “ Type oF print name of Authorizing Official) re
Charvean
~ rn a Member, District ond Stole) Sa _

.All-appointments-and:salary adjustments. for-employee's under. the. House-Classification- Actvand: for. Committee ‘em: :

ho ployees, except: those‘ of ‘the:Committee-on:Appropriations, the ‘Committee ‘onthe * Budget, and the Joint Committees, muster

- -be approved. by the Committee on:House‘Administration. » 28. o> =

_ APPROVED:

Office of. Finance use only:

Office Code.

wa tebe Mela aah Nene tial ab bw ated abi lid oe ee ee OO ib a ee tad ih

lL. certify - that this ‘authorization iss not.-in.-violation~ OES. U;s.C: 3140(b), prohibiting the employment of.’ -

sant tad ob

wb eves 2

So Rata A teint bts

Che Le ert ne ke peacetime ULL ate ne at a oe a

wid EEN es we a

; .
Micaela, Le tthe k en warkemen at ae

"Stake tad

ane

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:

PAYROLL AUTHORIZATION FORM. me a,
+. :.(Please-Use Typewriter’ -. “US: HOUSE. ‘OF. REPRESENTATIVES: Ba (any erasures, corrections, or.changes ’:

ree ; . von n this. form must be. initialed by the...
or Ballpoint Pen). -- . Washington; D.C. 20515 eo authorizing official.) . ~.

To the Clerk.of the House of Representatives: © 220 0

| hereby authorize the following payroll action:

Employee Name (First- “Midale- -Last) | nn i ee oe ' Effective Date -
George Robert Blakey 6/17/77

Employee Social Security Number... «- - fo. ~ oss. Type of Action

¥
{{] Appointment

Employing Office or Committee’. «|: C1 Salary Adjustment

we - . ene > . L] Termination (At close of busines on effective dote)
Select Committee on Assassinations

(If typeof action is an Appointment or Salary Adjustment, complete the following information.): ~~

Position Title _ Gross Annual Salary

Chief Counsel and Director $27,000.00

(If Committee Employee, complete appropriate item below.)

- a 0 Standing Committee: Staff—[-] Clerical or [-] Professional.

2 ac) F§] Special or Select Committee: Authority —H. Res. 465 of 9B th ¢ Congress. °

3. (J Joint Committee.

(If Employee of-an Officer. of the House, complete item below.) ..

Position Number: If applicable, Level _

AL ce that. this authorization .:is not -in- violation - of 4 USE. — 3110(b);: prohibiting: the: employment. of..
relatives. at

; sateRI a SAT. aca hea

flee \Gignoture of Authorizing Official) :

/0uts STOKES

. ee ttype or print name of Authorizing Official) SSS
oe z,
; Chairman

ett rr i ee a ee ee ee en oe en

: All: appointments. cand salary:.adjustments for employees..under.the House Classification-Act and for.Committee-em-::

.- ployees; -except those.of. the: Committee on: Appropriations, # the Gommittee: on..the -<Budgets and. the Joint « ‘Committees, must.’
‘be approved by:the. Committee on ‘House Administration: ba ae

APPROVED:

Chairman, Committee on House. Administration Sas

Office of Finance use only:

Ofee Code... -

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EOSIN Ai Oe ODDS aT OOS SPE LR SNL IPILE SLO WOE NT STOTT BON Sie CTS TLE RON DOL AE RD Fe CSTR aOR

Bid cen ei lecnctsZ lan a Nala 62

wee Ee thn me terbied eee mn hee ak le,

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tbe aengpe tn Bante ins fees! SO

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Dba etter tk achngene aD setatni len Chat! otis aa Baar wake

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MEMORANDUM.

TO: ALL STAFF

RE: -Payrol Certification

moe The Regulations and Accounting Procedures for Allowances and
_xbenses of Committees, Members and Employees of the U.S. House of -

Representatives require that, among other things, the Committee's
- monthly payroll certification include the relationship, if any, of —
each employee to any current Member of Congress. _ This certification
is. signed monthly by our Chairman. . a

\ The Following are the relationships. to be included in the
certification: eo, . . Co

father re nephew . : brother-in-law
mother Cs niece ©. Sis ter-in-Taw
son — -. fusband  .——— .. .. stepfather
daughter . wife -. . . §tepmother -
brother - . father-in-law ... | stepbrother
sister _ ~~ mother-in-law... - stepsister
uncle. son-in-law ~- .. fal f-brother

aunt - oo . daughter-in-law shal f-sister
first cousin: eo, : .

Please complete the appropriate portion below, sign and ‘date
this form, which will then. become a part of your permanent personnel

file. If this status changes, you must notify the Committee's Budget
‘Office immediately of the change. . -

ean not related to any current (95th congress) Member of Congress.

[J 1 am related to a current. (95th Congress) Member of Congress.
(Please specify. )-

be a&- 22 -

Date

A a :
Signature: of Enproyee SN |

see ease een naan ee ee a ON en nS ON a NS ER a

7 FOP yeetegt ce ae ey ee eee GG Rate ae ae he nae ee eam eee a ee - ; ; ae
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